Effectiveness of The Case Management Program for Uncontrolled Diabetic Mellitus in Muangsuang Hospital, Roi-Et

Abstract

Purpose: The objective of this quasi-experimental research were to compare the knowledge about diabetes, attitudes, behaviors and blood sugar levels of  uncontrolled diabetes mellitus  patients in the diabetes clinic, Mueang  Suang hospital.

Research design: Quasi-experimental research

Materials and Methods:  The research were 60 of samples were consisted of with uncontrolled diabetes mellitus. The experimental group received a case manager development program and the control group received a regular health education program. Data were collected using questionnaires and data sheets. Data were by analyzed using a descriptive statistics and paired t-test.

Main findings: After intervention ; the experiment group had knowledge mean score of diabetes mellitus more than the control group (p <.001), with the diabetes mellitus  knowledge mean score increased of 6.8 (95% CI: 4.04, 9.55); attitude mean score of diabetes mellitus  more than the control group (p <.001), with the diabetes mellitus  attitude mean score increased of 10.3 (95% CI: 9.08,11.57) ;  self care mean score of diabetes mellitus  more than the control group (p <.001), with the diabetes mellitus  self care mean score increased of 12.19 (95% CI: 11.61,20.11)  and glycemic control mean score of diabetes mellitus more than the control group (p <.001), with the diabetes mellitus  glycemic control mean score decreased of 53.37 (95% CI: 44.30,56.71).

Conclusion and recommendations: The results of this research indicated that the case manager program result to diabetic mellitus patients who uncontrolled diabetes mellitus patients with knowledge, attitudes and practices in blood sugar control and mean of glycemic control were reduced, so the relevant department should implement this program in the area.